فهرست نشریات علمی دسترسی آزاد ایران

Background and Objectives: Timely thrombolytic therapy is very important after acute ischemic stroke (AIS). However, a significant proportion of patients experience significant delays at presentation. To explore the status and influencing factors of the pre-hospital delay in patients with AIS and to provide a reference basis and practical strategies for the prevention of AIS and the treatment of patients.   Methods: A total of 100 patients with AIS who visited the emergency department and neurology department of Ningxia Medical University General Hospital from December 2020 to February 2021 were enrolled in this study. Questionnaire survey method were used to collect the following information: gender, age and other general information; the relevant conditions and treatment measures at the onset of stroke; patients' cognition of stroke risk factors. Logistic regression was used to analyze the related factors of pre-hospital delay.   Results: There were 76 patients (76%) with a delay beyond the time window (6 h). Univariate analysis showed that occupation, type of labour, time of onset, location of onset and the hospital of first diagnosis were all related to the occurrence of the delayed pre-hospital delay visit (P < 0.05). Logistic regression analysis suggested that the first visit to the non-third-class hospital (odds ratio = 3.676, 95% confidence interval = 0.476–2.128) was the main influencing factor for the pre-hospital delay.   Conclusion: The delay rate of patients with AIS is high in Yinchuan, so it is necessary to improve the residents' cognition of stroke, improve the patients' vigilance in seeking medical treatment after its onset, reduce the factors in the patients' delay in seeking medical treatment before hospitalisation and shorten the time before coming to the hospital. Patients should seek hospital treatment as soon as possible.